| NPI | 1720189491 |
|---|---|
| Former Legal Business Name | FOREST HILLS PEDIATRICS PA |
| Entity Type | Organization |
| Authorized Contact | STEVEN TODD BROCKETT Office Manager 214-553-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX G9023) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-06-21 |